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A systematic review of the benefits of mindfulness-based interventions following transient ischemic attack and stroke.

International journal of stroke : official journal of the International Stroke Society
August 1, 2013
Maggie Lawrence et al. (4 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the benefits of mindfulness-based interventions for individuals following transient ischemic attack or stroke.

Results Summary

The study found a positive trend in favor of mindfulness-based interventions across psychological, physiological, and psychosocial outcomes, including reduced anxiety, depression, and improved quality of life, with no evidence of harm.

Population

Individuals who experienced transient ischemic attack or stroke (160 participants across four studies).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based interventions
decrease
anxiety
people following transient ischemic attack/stroke
-
demonstrate a positive trend in favor of the benefits
#1
mindfulness-based interventions
decrease
depression
people following transient ischemic attack/stroke
-
demonstrate a positive trend in favor of the benefits
#2
mindfulness-based interventions
decrease
mental fatigue
people following transient ischemic attack/stroke
-
demonstrate a positive trend in favor of the benefits
#3
mindfulness-based interventions
decrease
blood pressure
people following transient ischemic attack/stroke
-
demonstrate a positive trend in favor of the benefits
#4
mindfulness-based interventions
increase
perceived health
people following transient ischemic attack/stroke
-
demonstrate a positive trend in favor of the benefits
#5
mindfulness-based interventions
increase
quality of life
people following transient ischemic attack/stroke
-
demonstrate a positive trend in favor of the benefits
#6
mindfulness-based interventions
no change
harm
people following transient ischemic attack/stroke
no evidence
No evidence of harm was found
#7
Abstract

BACKGROUND: Recent epidemiological studies have demonstrated an association between perceived psychological stress and ischemic stroke. A feature of stroke is recurrence; 30-40% within five-years following first transient ischemic attack/stroke. Equipping patients with skills and coping strategies to help reduce or manage perceived psychological stress may represent an important secondary prevention intervention. Mindfulness-based interventions are structured, group-based self-management programmes with potential to help people with long-term conditions cope better with physical, psychological, or emotional distress. Review evidence suggests significant benefits across a range of physical and mental health problems. However, we could find no evidence synthesis relating specifically to the benefits of mindfulness-based interventions following transient ischemic attack/stroke. AIM: The review aims to evaluate the benefits of mindfulness-based interventions following transient ischemic attack/stroke. METHODS: Six major databases were searched using subject headings and key words. Papers were screened using review-specific criteria. Critical appraisal and data extraction were conducted independently by two reviewers. Statistical meta-analysis was not possible; therefore findings are presented in narrative form. RESULTS: Four studies involving 160 participants were reviewed. Three papers reported mindfulness-based interventions delivered to groups; one paper reported a mindfulness-based intervention which was delivered one to one. The results demonstrate a positive trend in favor of the benefits of mindfulness-based interventions across a range of psychological, physiological, and psychosocial outcomes including anxiety, depression, mental fatigue, blood pressure, perceived health, and quality of life. No evidence of harm was found. CONCLUSION: Following transient ischemic attack/stroke, people may derive a range of benefits from mindfulness-based interventions; however, further methodologically robust trials are required.

Medical Subject Headings (MeSH)
HumansIschemic Attack, TransientMindfulnessSecondary PreventionStress, PsychologicalStroke
Study Links
Quality Scores
Safety90
Efficacy75/10
Quality65/10
Citation Metrics
Total Citations61
Citations/Year5.1
Relative Citation Ratio2.96
NIH Percentile84.7%
Research Impact Scores
APT Score0.95
Weight Score1.46
Normalized Score0.79
Related Supplements
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